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Practice of endoscopy during COVID-19 pandemic: position statements of the Asian Pacific Society for Digestive Endoscopy (APSDE-COVID statements)
  1. Philip Wai Yan Chiu1,
  2. Siew C Ng2,
  3. Haruhiro Inoue3,
  4. D Nageshwar Reddy4,
  5. Enqiang Ling Hu5,
  6. Joo Young Cho6,
  7. Lawrence KY Ho7,
  8. David G Hewett8,9,
  9. Han-Mo Chiu10,
  10. Rungsun Rerknimitr11,
  11. Hsiu-Po Wang12,
  12. Shiaw Hooi Ho13,
  13. Dong Wan Seo14,
  14. Khean-Lee Goh15,
  15. Hisao Tajiri16,17,
  16. Seigo Kitano18,
  17. Francis K L Chan2
  1. 1 Department of Surgery, The Chinese University of Hong Kong, Hong Kong, Hong Kong
  2. 2 Department of Medicine and Therapeutics, Institute of Digestive Disease, State Key Laboratory of Digestive Disease, LKS Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong, Hong Kong
  3. 3 Digestive Disease Center, Showa University, Northern Yokohama Hospital, Yokohama, Japan
  4. 4 Asian Healthcare Foundation, Asian Institute of Gastroenterology, Hyderabad, Andhra Pradesh, India
  5. 5 Department of Gastroenterology and Hepatology, General Hospital of Chinese PLA, Beijing, China
  6. 6 Digestive Endoscopy Center, CHA Bundang Medical Center, CHA University, Seoul, Republic of Korea
  7. 7 Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
  8. 8 School of Medicine, The University of Queensland, Brisbane, Queensland, Australia
  9. 9 Division of Gastroenterology, Queen Elizabeth II Jubilee Hospital, Brisbane, Queensland, Australia
  10. 10 Department of Internal Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
  11. 11 Department of Medicine, Chulalongkorn University, Bangkok, Thailand
  12. 12 Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
  13. 13 Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  14. 14 Asan Medical Center, Songpa-gu, Seoul, Republic of Korea
  15. 15 Department of Gastroenterology and Hepatology, University of Malaya, Kuala Lumpur, Malaysia
  16. 16 Division of Gastroenterology and Hepatology, The Jikei University School of Medicine, Tokyo, Japan
  17. 17 Department of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan
  18. 18 Oita University, Oita, Japan
  1. Correspondence to Professor Siew C Ng, Department of Medicine and Therapeutics, Institute of Digestive Disease, State Key Laboratory of Digestive Disease, LKS Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong, Hong Kong; siewchienng{at}cuhk.edu.hk

Abstract

Coronavirus-19 (COVID-19) caused by SARS-CoV-2 has become a global pandemic. Risk of transmission may occur during endoscopy and the goal is to prevent infection among healthcare professionals while providing essential services to patients. Asia was the first continent to have a COVID-19 outbreak, and this position statement of the Asian Pacific Society for Digestive Endoscopy shares our successful experience in maintaining safe and high-quality endoscopy practice at a time when resources are limited. Sixteen experts from key societies of digestive endoscopy in Asia were invited to develop position statements, including patient triage and risk assessment before endoscopy, resource prioritisation and allocation, regular monitoring of personal protective equipment, infection control measures, protective device training and implementation of a strategy for stepwise resumption of endoscopy services after control of the COVID-19 outbreak.

  • endoscopy
  • clinical decision making
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/gutjnl-2020-321185

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    Footnotes

    • SK and FKLC are joint senior authors.

    • Twitter @dghewett

    • Contributors PWYC, SCN and FKLC contributed to the formulation of statements, coordination of the expert endoscopists and drafting of the manuscript. HI, DNR, ELH, JYC, LH, DGH, H-MC, RR, H-PW, SHH, DWS, K-LG and HT are expert endoscopists who commented on the statements and manuscript. FKLC and SK are co-senior authors and act as guarantors.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests SK is president of the Asian Pacific Society of Digestive Endoscopy (APSDE); HT is vice president of APSDE; PWYC, H-PW, RR, SHH are serving as councillors of APSDE.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Data availability statement There are no data in this work.